Individual
MICKELA RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
6209 NILE PL APT A, GREENSBORO, NC 27409-2159
(714) 688-6710
Mailing address
6209 NILE PL APT A, GREENSBORO, NC 27409-2159
(714) 688-6710
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A11953
NC
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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